Individual
MR. RYAN CHARLES KORANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D.
Contact information
Practice address
1705 22ND STREET, FLORENCE, OR 97439
(541) 991-7733
Mailing address
35 PARK VILLAGE DR, FLORENCE, OR 97439-9586
(541) 991-0016
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10133238
OR
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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